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Behavioral Health (Policy, Billing, or Coverage Update) -
Coronavirus: Type (COVID-19) Coverage for Mental Health Services for Essential Workers

The New York State Department of Financial Services (DFS) has directed health insurance plans to waive cost-share for essential workers for in-network outpatient mental health services provided by mental health providers due to the coronavirus (COVID-19) emergency. Click on the resource to learn more.

Mental & Behavioral Health

COVID-19

Behavioral Health (Policy, Billing, or Coverage Update) - 2019
Recovery Coordination Agency (RCA

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HARP

Behavioral Health (Practice Guidelines and Tips) - 2017
First Episode Psychosis (FEP) Practice Guidelines

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Behavioral Health (Patient Resource) - 2020
Level of Service Request (LOSR) Minimum Requirements for BH HCBS Health and Recovery Plans (HARP) / Healthfirst Personal Wellness Plan (PWP)

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HARP

Personal Wellness Plan

Health Home

Behavioral Health (Patient Resource) - 2020
Frequently Asked Questions Clinical Document Submission Methods for Health and Recovery Plans (HARP) / Healthfirst Personal Wellness Plan (PWP)

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HARP

Personal Wellness Plan

Health Home

Behavioral Health (Practice Guidelines and Tips) - 2015 or Earlier
Behavioral Health Carve-in: Prior Authorization Guidelines

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General Claims Information

Prior Authorization

Mental & Behavioral Health

Behavioral Health (Patient Resource) - 2020
Elements of a Complete Plan of Care (POC) Health and Recovery Plans (HARP) / Healthfirst Personal Wellness Plan (PWP)

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HARP

Personal Wellness Plan

Health Home

Behavioral Health (Form) - 2020
Sample: Complete BH-HCBS Level of Service Request

This Level of Service Determination form has been completed as an example. This form may be submitted via the Provider Portal. If the member is enrolled in a Health Home, this form may also be sent to the Lead Health Home, which will submit it on behalf of your agency.

HARP

Personal Wellness Plan

Health Home

Behavioral Health (Form) - 2020
BH-HCBS Level of Service Request

This Level of Service Determination (LOSD) form may be submitted via the Provider Portal. If the member is enrolled in a Health Home, this form may also be sent to the Lead Health Home, which will submit it on behalf of your agency.

HARP

Personal Wellness Plan

Health Home

Behavioral Health (Practice Guidelines and Tips) - 2020
HARP: Accessing Language-Assistance Services for BH-HCBS

Healthfirst has contracted with an external vendor to enable three-way translation calls among the BH-HCBS provider, the member, and the translator. This guide outlines the steps to use Healthfirst’s language-assistance service.

HARP

Health Home

Personal Wellness Plan

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